Udo P. Ogueri, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012854 Issued in GA

Practice address

665 Duluth Hwy # 120
Suite 703
Lawrenceville, GA 30045-3328

Phone

(770) 962-8835

Fax

(770) 995-9436

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285787689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY # 120",
            "address_2": "SUITE 703",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453328",
            "telephone_number": "770-962-8835",
            "fax_number": "770-995-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY # 120",
            "address_2": "SUITE 703",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453328",
            "telephone_number": "770-962-8835",
            "fax_number": "770-995-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUERI",
        "first_name": "UDO",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1738437",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura L Ofoha, FNP-BC
• Gospel Suvwe Ofuyah, CNP
• Chinwe Ogbodo
• Sandra Ifenyinwa Ogbonna
• Solomon Ogonji
• Omokayode Akanji Ogundimu
• Michelle Oh
• Veronica I Ohwowhiagbese, APRN
• Peter Seong Joon Ok, DDS, MMSC
• Chukwuka M Okafor, DMD

• General Practice Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.